COMMUNITY WELLNESS GROUP LLC
NPI 1982144606
Internal Medicine in Columbia, SC

Active since February 28, 2017CLIA 42D2160344 · Waiver
2430 ATLAS RD STE 1, COLUMBIA, SC 29209(803) 586-1752(877) 995-5934 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2021, Aug 20, 2019, Feb 28, 2017 (3 updates tracked since 2017).

About Community Wellness Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY WELLNESS GROUP LLC (NPI 1982144606) is a healthcare organization registered as an internal medicine in Columbia, South Carolina and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Kenneth Allan Simmons, Director/manager, as its authorized official.

NPPES Registry Identity

NPI1982144606
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMMUNITY WELLNESS GROUP LLC
Location Address2430 ATLAS RD STE 1Columbia, SC 29209-3625
Mailing Address7356 Garners Ferry Rd Suite 130Columbia, SC 29209-2178 · (803) 586-1752 · Fax (877) 995-5934
Fax(877) 995-5934
Organization SubpartNo
Authorized OfficialKenneth Allan SimmonsDirector/manager · (803) 586-1752
Enumeration DateFebruary 28, 2017
Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1982144606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2430 ATLAS RD STE 1, Columbia, SC 29209

Other Identifiers 1

MedicaidGP8968SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2160344
Facility Type
Physician Office
Certificate Effective Date
August 30, 2025
Certificate Expiration Date
August 29, 2027
Laboratory Director
DR. JASON B. BARBER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Wellness Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY WELLNESS GROUP LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
2430 ATLAS RD STE 1
COLUMBIA, SC 29209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982144606, enumerated as an "organization" on February 28, 2017.

The provider is located at 2430 ATLAS RD STE 1 COLUMBIA, SC 29209 and the phone number is (803) 586-1752.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.